scholarly journals Speech Impairment in a Large Sample of Patients with Parkinson’s Disease

1999 ◽  
Vol 11 (3) ◽  
pp. 131-137 ◽  
Author(s):  
Aileen K. Ho ◽  
Robert Iansek ◽  
Caterina Marigliani ◽  
John L. Bradshaw ◽  
Sandra Gates
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Control ◽  
Speech Motor Control ◽  
Conversational Speech ◽  
Speech Impairment ◽  
Point Scale ◽  
Severe Stage ◽  
Motor Set ◽  
Speech Motor

This study classified speech impairment in 200 patients with Parkinson’s disease (PD) into five levels of overall severity and described the corresponding type (voice, articulation, fluency) and extent (rated on a five-point scale) of impairment for each level. From two-minute conversational speech samples, parameters of voice, fluency and articulation were assessed by two trained-raters. Voice was found to be the leading deficit, most frequently affected and impaired to a greater extent than other features in the initial stages. Articulatory and fluency deficits manifested later, articulatory impairment matching voice impairment in frequency and extent at the ‘Severe’ stage. At the final stage of `Profound' impairment, articulation was the most frequently impaired feature at the lowest level of performance. This study illustrates the prominence of voice and articulatory speech motor control deficits, and draws parallels with deficits of motor set and motor set instability in skeletal controls of gait and handwriting.

scholarly journals Efficacy and Acceptance of a Lombard-response Device for Hypophonia in Parkinson’s Disease

2020 ◽  
Vol 47 (5) ◽  
pp. 634-641
Author(s):  
Scott Adams ◽  
Niraj Kumar ◽  
Philippe Rizek ◽  
Angeline Hong ◽  
Jenny Zhang ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Low Cost ◽  
Communication Effectiveness ◽  
Conversational Speech ◽  
Trial Period ◽  
Speech Impairment ◽  
Response Device ◽  
High Satisfaction

ABSTRACT:Objective:The purpose of this study was to examine the effectiveness, satisfaction, and acceptance of a low-cost Lombard-response (LR) device in a group of individuals with Parkinson’s disease (IWPD) and their communication partners (CPs).Method:Sixteen IWPD and hypophonia and their CPs participated in the study. The IWPD wore a LR device that included a small MP3 player (Sony Walkman) and headphones playing a multi-talker noise audio file at 80 dB during lab-based speech tasks and during their daily conversational speech over a 2-week device trial period. Outcome measures included average conversational speech intensity and scores on a questionnaire related to speech impairment, communication effectiveness, and device satisfaction.Results:Conversational speech intensity of the IWPD is increased by 7 to 10 dB with the LR device. Following a 2-week trial period, eight of the IWPD (50%) gave the LR device moderate-to-high satisfaction and effectiveness ratings and decided to purchase the device for long-term daily use. At the 4-month follow-up, none of the IWPDs were still using the LR device. Device rejection was related to discomfort (loudness), headaches, interference with cognition, and difficulty controlling device.Conclusion:Short-term acceptance and satisfaction with the LR device was moderate, but long-term acceptance, beyond 4 months, was absent. Future studies are required to determine if other types of low-cost LR devices can be developed that improve long-term efficacy and device acceptance in IWPD and hypophonia.

scholarly journals Face-Referenced Measurement of Perioral Stiffness and Speech Kinematics in Parkinson's Disease

2015 ◽  
Vol 58 (2) ◽  
pp. 201-212 ◽  
Author(s):  
Shin Ying Chu ◽  
Steven M. Barlow ◽  
Jaehoon Lee
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Speech Motor Control ◽  
Multilevel Regression ◽  
Regression Techniques ◽  
Integrated Electromyogram ◽  
Clinical Correlate ◽  
Electromyographic Signals ◽  
Speech Kinematics ◽  
Speech Motor

Purpose Perioral biomechanics, labial kinematics, and associated electromyographic signals were sampled and characterized in individuals with Parkinson's disease (PD) as a function of medication state. Method Passive perioral stiffness was sampled using the OroSTIFF system in 10 individuals with PD in a medication ON and a medication OFF state and compared to 10 matched controls. Perioral stiffness, derived as the quotient of resultant force and interoral angle span, was modeled with regression techniques. Labial movement amplitudes and integrated electromyograms from select lip muscles were evaluated during syllable production using a 4-D computerized motion capture system. Results Multilevel regression modeling showed greater perioral stiffness in patients with PD, consistent with the clinical correlate of rigidity. In the medication-OFF state, individuals with PD manifested greater integrated electromyogram levels for the orbicularis oris inferior compared to controls, which increased further after consumption of levodopa. Conclusions This study illustrates the application of biomechanical, electrophysiological, and kinematic methods to better understand the pathophysiology of speech motor control in PD.

Physiologic Studies Provide New Perspectives on Early Speech Development

2010 ◽  
Vol 20 (2) ◽  
pp. 29-36
Author(s):  
Erin M. Wilson ◽  
Ignatius S. B. Nip
Keyword(s):  
Motor Control ◽  
Motor Development ◽  
Motion Tracking ◽  
Speech Development ◽  
Speech Motor Control ◽  
Therapeutic Approaches ◽  
Facial Motion ◽  
Disordered Speech ◽  
Speech Motor ◽  
Physiologic Data

Abstract Although certain speech development milestones are readily observable, the developmental course of speech motor control is largely unknown. However, recent advances in facial motion tracking systems have been used to investigate articulator movements in children and the findings from these studies are being used to further our understanding of the physiologic basis of typical and disordered speech development. Physiologic work has revealed that the emergence of speech is highly dependent on the lack of flexibility in the early oromotor system. It also has been determined that the progression of speech motor development is non-linear, a finding that has motivated researchers to investigate how variables such as oromotor control, cognition, and linguistic factors affect speech development in the form of catalysts and constraints. Physiologic data are also being used to determine if non-speech oromotor behaviors play a role in the development of speech. This improved understanding of the physiology underlying speech, as well as the factors influencing its progression, helps inform our understanding of speech motor control in children with disordered speech and provide a framework for theory-driven therapeutic approaches to treatment.

Anxiety and cognitive load affect upper limb motor control in Parkinson's disease during medication phases

2021 ◽  
Author(s):  
Zahra Nodehi ◽  
Hajar Mehdizadeh ◽  
Akram Azad ◽  
Maryam Mehdizadeh ◽  
Elham Reyhanian ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Control ◽  
Cognitive Load ◽  
Upper Limb

Goal-based speech motor control: A theoretical framework and some preliminary data

1995 ◽  
Vol 23 (1-2) ◽  
pp. 23-35 ◽  
Author(s):  
Joseph S. Perkell ◽  
Melanie L. Matthies ◽  
Mario A. Svirsky ◽  
Michael I. Jordan
Keyword(s):  
Motor Control ◽  
Preliminary Data ◽  
Theoretical Framework ◽  
Speech Motor Control ◽  
Speech Motor

scholarly journals Consistency influences altered auditory feedback processing

2019 ◽  
Vol 72 (10) ◽  
pp. 2371-2379 ◽  
Author(s):  
Matthias K Franken ◽  
Daniel J Acheson ◽  
James M McQueen ◽  
Peter Hagoort ◽  
Frank Eisner
Keyword(s):  
Motor Control ◽  
Speech Production ◽  
Auditory Feedback ◽  
Speech Motor Control ◽  
Short Term ◽  
Feedback Processing ◽  
Motor Commands ◽  
Consistent Condition ◽  
Consistency Effect ◽  
Speech Motor

Previous research on the effect of perturbed auditory feedback in speech production has focused on two types of responses. In the short term, speakers generate compensatory motor commands in response to unexpected perturbations. In the longer term, speakers adapt feedforward motor programmes in response to feedback perturbations, to avoid future errors. The current study investigated the relation between these two types of responses to altered auditory feedback. Specifically, it was hypothesised that consistency in previous feedback perturbations would influence whether speakers adapt their feedforward motor programmes. In an altered auditory feedback paradigm, formant perturbations were applied either across all trials (the consistent condition) or only to some trials, whereas the others remained unperturbed (the inconsistent condition). The results showed that speakers’ responses were affected by feedback consistency, with stronger speech changes in the consistent condition compared with the inconsistent condition. Current models of speech-motor control can explain this consistency effect. However, the data also suggest that compensation and adaptation are distinct processes, which are not in line with all current models.

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